Organization
CECILIA JACOBS, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CECILIA JACOBS PSY.D. (CLINICAL PSYCHOLOGIST)
(937) 320-5859
Entity
Organization
Contact information
Practice address
2188 GATEWAY DR, FAIRBORN, OH 45324-6356
(937) 320-5859
(937) 426-1349
Mailing address
2188 GATEWAY DR, FAIRBORN, OH 45324-6356
(937) 320-5859
(937) 426-1349
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5332
OH
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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